Family Practice
Walk-in Clinic ,Travel Clinic & Pharmacy in Kitchener
Please fill out this questionnaire and email it to kwmedicalcentre@gmail.com or fax to 519-893-6061
Due to the high volume of patient request, please allow some time for your form to be processed.
Health History Questionnaire (docx)
DownloadDue to sudden changes, our walk-in today will be closed at 3:30 pm. Appointments will continue to be seen.